Heritage Hall Nrsg And Rehab - Leesburg Nursing Home
General Information
UPDATEFederal Provider Number
495261
Provider Name
HERITAGE HALL NRSG AND REHAB
Provider Address
122 MORVEN PARK ROAD NW
LEESBURG, VA 20176
LEESBURG, VA 20176
Provider Phone Number
(703) 777-8700
Provider SSA County
530
Provider County Name
Loudoun
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
164
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10433
Reported LPN Staffing Hours per Resident per Day
0.53267
Reported RN Staffing Hours per Resident per Day
0.76100
Reported Licensed Staffing Hours per Resident per Day
1.29367
Reported Total Nurse Staffing Hours per Resident per Day
3.39800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09633
Expected CNA Staffing Hours per Resident per Day
2.51081
Expected LPN Staffing Hours per Resident per Day
0.57826
Expected RN Staffing Hours per Resident per Day
0.97358
Expected Total Nurse Staffing Hours per Resident per Day
4.06265
Adjusted CNA Staffing Hours per Resident per Day
2.05647
Adjusted LPN Staffing Hours per Resident per Day
0.76456
Adjusted RN Staffing Hours per Resident per Day
0.58405
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37145
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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